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E The Town of Barnstable
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1Am � Department of Health Safety and Environmental Services
Building Division
367 Main Street,Hyannis MA 02601
Office: 508-862-4038 Ralph'Crossen
Fax: 508-790-6230 Building Commissioner
SHED REGISTRATION
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Location of shed( ) v'`►� .�1�
Pro rty owner's name Telephone number
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Size of Shed Map/Parcel#
Sign Date
Hyannis Main Street Waterfront Historic District? �L
Old King's Highway Historic District Commission jurisdiction? n1lo
Conservation Commission(signature required)
THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN
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•rAssessgr's map and lot number .....1 E
Sewage Permit number ......... ...... SEPTIC SYSTEM MU o
�— INSTALLED IN COMP
House number D 9TODLE, .
..................................... . ...............................
WITH TITLE 5 =, "'tea �
N LC ENVIRONMENTAL CO MA`I;a`e
TOWN OF BARNSTACARULATION�
BUILDING INSPECTOR
APPLICATION FOR PERMIT TO ..::..pa.12 .:..................
1. ... / \.............................
TYPE OF CONSTRUCTION .................... �! ............. ...... ............................................
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TO THE INSPECTOR OF BUILDINGS:
The ;undersigned hereby applies for a permit according ;to the following information: p�
✓ /'
Location .... . .�. .. ...... . ....< . ...... ..... .. ' .......... ....../C�i�l�///�
Proposed Use ........... . mil./.� r�. ..........:..:.........:..................................
v .............. y :...............................
Zoning District ........... ....................... .......................Fire District ................. ..�,...�r........`�......
Name of Owner ...... ./..:. .... . .................. ddress 101 K.P.7../...32.... � ....
Nameof Builder ............ .. ....':.... ...2?...1.......w�.............Address ....................................................................................
Name-of Architect �1 t.�l.t' .Y. .. �/./. Address
Number of Rooms ................... ..........................................Foundation ..... ...... �
C Roofng `.......C.S/.. ...
Exterior ............. �. , ... ................................ ......................:.......................
Floors ...... ... ........Interior ........ l�
' Heating ....... . ..... ..��....6...................................................Plumbing ... ... . ...�... .. �. ./. ..
Fireplace ............. 51.................................................Approximate Cost .....� ep
.........................
.......�............... ..
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Definitive Plan Approved by Planning Board ____ ___________19� Area .:......................oa.............
Diagram of Lot and Building with Dimensions Fee
SUBJECT TO APPROVAL OF BOARD OF HEALTH
OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS
I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above
construction.
Name .. .... .............................
Construction Supervisor's License ....................................
S L S TRUST
28409 11, Story
Nog......;.......... Permit for ....................................
Single Family Dwelling
...........:..................................................................
Location ......L.o.t...6.3.5 Zeno. o..C.r.o.c k.e.r. ..Road
...... .. . .... .. . . .... . .
Centerville
............................................................................
Owner ........S...L..-.S..,...Trust................................
Type of Construction' .............F.r.ame...................
F-0
..............................................:.................................
Plot ............................ Lot ................................
Permit Cpranted .......September 11, 85...........
Date of Inspection ....................................19
96—Date Completed ................... 19
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TOWN OF BARNSTABLE Permit No. __28 W9_____________
. .'. Building Inspector cash —____�___
OCCUPANCY PERMIT Bond __ __________—__.
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Issued to S L S Trust Address .
Lot 635, Zp-no Crocker Road. Centerville
Wiring Inspector# Inspection date _
Plumbing Inspector Inspection date
Gas Inspector � .�trv�?.x� /� Inspection date 2 Q Rb u$,5;
X Engineering Departmentta! .� ��-''1 2 Inspection date.f&�r
Board of Health { �, , ,;�. j Inspection date
THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL
SIGNED BY THE BUILDING INSPECTOR, UPON SATISFACTORY COMPLIANCE WITH TOWN
REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE
BUILDING CODE.
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Building Inspector
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OF 4/4
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M.
MfARWICK
No. 19771
F� ISTER��
REGISTERED LAND SURVE FOR
YOR :r-ja t-jo C �oG
ZONE
PLAN REF. DATE
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BENCH MARK DATUM- WM. M. WARWICK B ASSOC., INC.
DOMESTIC WATER SOURCE To W Q 80X BOl - NORTH FA L MOUTH
-44FLOOD ZONE- Na►�-�- � G"
„ . MASS. 02556 - (6/7) 563 -26 38
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LEACHING QASIN SECTION NOT TO SCALE shee/ z .f 2
1 24"C.I..MN COVER
f EARTH FILL BRICK AND MORTAR COURSES AS RE00• TO BRING
4 -4 COVER TO GRADE
B FLOW LINE u /
INLET 1_ _ __ _ _j i 2 TO/ WASHED PEASTONE FREE Of IRONS,
PIPE FINES AND DUST /N PLACE
OPENING WITH 4%g 14 TO I k2 WASHED CRUSHED STONE FREE OF
11 �3 I IRONS FINES AND DUST /N PLACE OUTER DIAMETER
AND 144' n INS/DE
DIAMETER '• ' I. CONCRETE TO BE 4•' 000 PSI 28 DAYS
SN y 2. REINFORCED WITH 6"x 6° NO. 6 GA. W.W.M.
1 3. 21 AND 4' SECTIONS ARE AVAILABLE FOR
GREATER DEPTH REQUIREMENTS
] 4'0" �-- �—+- 6 0 I 3--� 4. NUMBER OF PITS REQUIRED
MIN• f z ; NOTE: EXCAVATE TO ELEVATION 3O'S OR
EFFECTIVE DIAMETER
.{ (Nor TO EXCEED 3 TIMES EFFECTIVE DEPTH) LOWER AS REQUIRED TO REMOVE ALL
WArER TABLE - LOAM AND CLAY BENEATH PIT. REPLACE
EXCAVATED MATERIAL WITH CLEAN
' ;TYPICAL PROFILE GRAVEL TO DESIGNED GRADE.
l8"STO. LT. WGr. C./.MH COVER
1 51•� '� °•y ° 0,3
4"C./.PIPE 4"81 r FIBER PIPE
TIGHT JOINT OUTLET LEVEL
DWELLING �� FLOW LINE TO FIRST JOINT
k iy 1' /4" 00 1 1 0 op to
110
C.I. TEE �'�1�1 S 1 11 000100 1 1' I I
Fro, PRECAST CONC. r.0/S BOX TO BE ' 1 1000 00 1 1 1 1 .
: QGAL.SEPTIC TANK ��'I I I 1 1 0 O 00 0 1 1 1
INSTALL N LEVEL, 1 1( 0 00 00 0,1 1 1
STABLE BASE 1 it 100 00 1 1 1
j y \SEPT/C TANK TO BE 1 11 000 00 1.1 I
INST LL�LEVEL, 1 11 100 I O 0 1
STABLE BASE. 1 11 100 O O 1 1 1 1
1 1 OOOIO 0 1 1 1 1 '
LEACHING BASIN I( C o O 00 0 1 1 i
BASE TO BE LEVEL--.. I r 18 0 0 0 1
SOIL AND PERC. DATA
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• ..PERC.RATE MIN. /IN. ®�� TEST PIT N0. P 377 0° TEST PIT NO. 2
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TEST BY _ • C, D �� t)Ati o �
Prz—V r- rGav�1.
WITNESSED. BY: ZELF)& 1 Et'?j=D t\ .jp
TEST PIT GR. EL. h� °1
DATE: ' . 10 �o Izl SANP
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DESIGN DATA GENERAL NOTES
BEDROOMS 3 NO HEAVY EQUIPMENT TO RUN OVER SYSTEM.
DISPOSAL 'SEPTIC TANK, DIST. BOX AN LEACHING BASINS TO BE STANDARD
EST. TOTAL DAILY EFFL32 ":5GPD. PRECAST REINFORCED CONCRETE UNITS.
SEPTIC TANK t o0o GAL. ALL. SYSTEM COMPONENTS SHALL BE INSTALLED IN ACCORDANCE
TO REVISED TITLE 5 OF THE STATE ENVIRONMENTAL CODE,
SIDEWALL AREA! SGAL./SQ.FT. MINIMUM REQUIREMENTS FOR THE SUBSURFACE DISPOSAL OF
BOTTOM AREA GAL./SQ,FT. SANITARY SEWAGE EFFECTIVE ON JULY 11 1977.
. .LEACHING REQUIRED00cSQ.FT.. ANY. CHANGES TO THIS PLAN MUST BE APPROVED BY THE BOARD
ACTUAL` LEACHING AREA OF HEALTH.
Z_ :!2-SQ•FT. ..AT 'COMPLETION OF CONSTRUCTION, PRIOR TO BACKFILLING, THE
BOARD OF HEALTH SHALL BE NOTIFIED FOR INSPECTION.
PITCH ALL SEWER LINES 1/4' / FT. UNLESS INDICATED OTHERWISE.
iH OF ,44
n SEWAGE DISPOSAL SYSTEM
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�SS/ONALE�� 1, �S
t SCALE AS INDICATED DATE Z
• WM. M. WARWICK a ASSOC., INC.
`:•. BOX 801 - -NORTH FALMOI/TH
` MASS. 02556 - (617) 565 -2638
"• a PROFESSIONAL ENGINEER
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On the basis. of my knowledge, information and
belief, I certify to The Town of Barnstable, -
The Boston Five Cents Savings Bank and TicorpU 1.1 17/.�:T i o►..� C p�T t l G J`AT!s�
Title Insurance, Co. that as.a .result of a L p T co 3 rj �,�v G CX k rctZ iA C)
survey made on the ground on I find C. T'ei -V 1t,L-e � �ti 6,�i5
that: k:19- to- ZC
The structure (s) are located on the site as
shown. In compliance with the Town Zoning By-Laws W M, M,\AJA, -VU 161 K, � d,•ySoG° I t�3G, .
The title lines and lines of occupation .of the W;0, I✓A,l-hA0L) i4
site are as shown hereon. =
The site is situated in .Flood .Zone /Vag-//,9 'Fob C �N of Mq�
Community.panel_lio. 25A!yo/,"14rcDate: WILLIAM y
Date: 9 /o B , , } lw•
1i� WARWICK
�ailliam M. 14arwick9RLS rao. 99771 �a